CAROLYN DEANNA WILSON
NPI 1184298671
Registered Nurse - Case Management in Sacramento, CA

Active since May 18, 2021
2425 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 453-5057(916) 453-5038 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2023, May 18, 2021 (2 updates tracked since 2021).

About Carolyn Deanna Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN DEANNA WILSON (NPI 1184298671) is an individual case management provider in Sacramento, California, licensed in California (950866896) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1184298671
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameCAROLYN DEANNA WILSON
Location Address2425 STOCKTON BLVDSacramento, CA 95817-2215
Mailing Address2425 Stockton BlvdSacramento, CA 95817-2215 · (916) 453-5057
Fax(916) 453-5038
Sole ProprietorNo
Enumeration DateMay 18, 2021
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1184298671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License Licensed in CA · 950866896
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 950866896 (CA)
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 950866896 (CA)
2425 STOCKTON BLVD, Sacramento, CA 95817

Other Names 1

Former Name (1)Carolyn Deanna Poore Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Registered Nurse (Pediatrics)
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2425 STOCKTON BLVD, DEPT OF ORTHOPAEDIC SURGERY
SACRAMENTO, CA 95817
Physical Therapist
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Psychiatry & Neurology (Neurology)
2425 STOCKTON BLVD, SHRINERS HOSPITAL FOR CHILDREN NORTHERN CALIFORNIA
SACRAMENTO, CA 95817
Psychologist
2425 STOCKTON BLVD
SACRAMENTO, CA 95817
Pediatrics
2425 STOCKTON BLVD, SHRINERS HOSPITAL OF NORTHERN CALIFORNIA
SACRAMENTO, CA 95817
Occupational Therapist (Physical Rehabilitation)
2425 STOCKTON BLVD
SACRAMENTO, CA 95817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Wilson's NPI number?

The NPI number for Carolyn Wilson is 1184298671. It was assigned to this individual provider in the NPPES registry on May 18, 2021. The provider is also known as Carolyn Deanna Poore Rn.

Where is Carolyn Wilson located?

Carolyn Wilson practices at 2425 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 453-5057.

What is Carolyn Wilson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Carolyn Wilson was last updated on September 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.